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Individual

MR. MICHAEL V STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
819 WORCESTER ST STE 1, SPRINGFIELD, MA 01151-1056
(413) 304-2501
(413) 789-0290
Mailing address
819 WORCESTER ST STE 1, SPRINGFIELD, MA 01151-1056
(413) 304-2501
(413) 789-0290

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03656
NC
363A00000X
Physician Assistant
0877
NH
363A00000X
Physician Assistant
4977
WI
363A00000X
Physician Assistant
PA00633
RI
363A00000X
Physician Assistant
PA2390
TN
363AM0700X
Medical Physician Assistant
Primary
PA4339
MA

Other

Enumeration date
02/06/2012
Last updated
12/15/2022
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